| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 2010 MAIN STREET, SUITE 700 IRVINE, CA 92614 | AETNA HEALTH OF CALIFORNIA INC. | $32K | — | $32K | 2.79% |
| RACHEL OWENS3 | 1633 E FOURTH ST STE 216 SANTA ANA, CA 92701 | AETNA HEALTH OF CALIFORNIA INC. | $8K | — | $8K | 0.65% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 2010 MAIN STREET, SUITE 700 IRVINE, CA 92614 | AETNA LIFE INSURANCE COMPANY | $14K | $9K | $23K | 7.50% |
| RACHEL OWENS3 | 1633 E FOURTH ST STE 216 SANTA ANA, CA 92701 | AETNA LIFE INSURANCE COMPANY | $1K | — | $1K | 0.36% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 2010 MAIN STREET, SUITE 700 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $2K | $3K | 10.04% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 2010 MAIN STREET, SUITE 700 IRVINE, CA 92614 | AETNA LIFE INSURANCE COMPANY | $3K | — | $3K | 16.29% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 2010 MAIN STREET, SUITE 700 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $165 | $165 | $330 | 9.98% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 347 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 350 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA HEALTH OF CALIFORNIA INC. | 275 | $1.2M |
| Dental | AETNA LIFE INSURANCE COMPANY | 330 | $307K |
| Vision | AETNA LIFE INSURANCE COMPANY | 330 | $307K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 363 | $30K |
| Prescription drug | AETNA HEALTH OF CALIFORNIA INC. | 275 | $1.2M |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 347 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 363 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.